Treatment Effect Estimation for Optimal Decision-Making
Dennis Frauen, Valentyn Melnychuk, Jonas Schweisthal, Mihaela van der Schaar, Stefan Feuerriegel
TL;DR
This work addresses the gap between CATE estimation and optimal decision-making by showing that thresholding two-stage CATE estimators can be suboptimal when targeting policy value. It introduces policy-targeted CATE (PT-CATE) with a gamma-parameterized objective and an adaptive indicator to jointly optimize CATE accuracy and decision performance, implemented via a three-stage neural algorithm. The approach comes with theoretical guarantees (suboptimality results and nuisance-error bounds) and empirical evidence on synthetic and real data demonstrating improved decision quality with controlled CATE trade-offs. The method preserves interpretability through a CATE-like representation while delivering practical gains for data-driven decision-making in fields like medicine and marketing.
Abstract
Decision-making across various fields, such as medicine, heavily relies on conditional average treatment effects (CATEs). Practitioners commonly make decisions by checking whether the estimated CATE is positive, even though the decision-making performance of modern CATE estimators is poorly understood from a theoretical perspective. In this paper, we study optimal decision-making based on two-stage CATE estimators (e.g., DR-learner), which are considered state-of-the-art and widely used in practice. We prove that, while such estimators may be optimal for estimating CATE, they can be suboptimal when used for decision-making. Intuitively, this occurs because such estimators prioritize CATE accuracy in regions far away from the decision boundary, which is ultimately irrelevant to decision-making. As a remedy, we propose a novel two-stage learning objective that retargets the CATE to balance CATE estimation error and decision performance. We then propose a neural method that optimizes an adaptively-smoothed approximation of our learning objective. Finally, we confirm the effectiveness of our method both empirically and theoretically. In sum, our work is the first to show how two-stage CATE estimators can be adapted for optimal decision-making.
